Case Manager - Hemet Hills

Northroyaltonpa

Hemet, California, USA
Not specified (assumed to be onsite based on the nature of the role).
Critical thinking skills
Care coordination expertise
Resident and family communication
The Case Manager position at Hemet Hills requires expertise in care coordination and critical thinking to develop and implement plans of care for residents, ensuring their needs are met while managing costs. The ideal candidate should possess a degree in a related field and prior experience in healthcare or social services

Job Summary

  • Utilize critical thinking skills and care coordination expertise to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources, and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.
  • Communicate regularly with residents and their families about Plans of Care, PT, OT, and other treatment protocols, and answer residents’ questions about their care, treatment plans, illness progression, and other issues to ensure they feel safe and secure in our care.
  • Perform utilization review activities to provide residents with appropriate, timely, and cost-effective care, and coordinate care with residents, care providers, facility financial services, and third-party payers.

Matching Summary

Match Score: 85

The Case Manager position at Hemet Hills requires expertise in care coordination and critical thinking to develop and implement plans of care for residents, ensuring their needs are met while managing costs. The ideal candidate should possess a degree in a related field and prior experience in healthcare or social services.

Skills & Requirements

Must-have

  • Critical thinking skills
  • Care coordination expertise
  • Resident and family communication
  • Documentation completion
  • Utilization review activities
  • Independent judgment

Nice-to-have

  • Compassionate demeanor
  • Resident-centered care commitment
  • Professional and respectful interactions
  • Cooperation and collaboration promotion

Key Requirements

  • Bachelor's Degree in Social Work, Human Services, Nursing, or related field preferred
  • Prior experience in healthcare, case management, or social services strongly preferred
  • Knowledge of Medicare, Medi-Cal, and Medicaid programs
  • Familiarity with PCC or other EMR systems preferred
  • Certificate as a Certified Case Manager (CCM) a plus
  • Ability to read and comprehend policy and procedure manuals
  • Ability to effectively present information
  • Ability to organize, prioritize, and manage multiple tasks

Work Rights

Not specified

Tailored Resume

Cover Letter